Olivia Dearholt NNP-BC

NPI 1750786141 - Nurse Practitioner - 363LN0005X

NPI Details
NPI 1750786141
Gender Female
Enumeration Date 10/27/2014
Last Updated 10/27/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
2211 LOMAS BLVD NE
ALBUQUERQUE NM, 87106-2719, US
Phone (505) 463-6014
Fax
Business Location
MSC10 5590
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE NM, 87131-0001, US
Phone (505) 272-2127
Fax
Toxanomy
Taxonomy Code 363LN0005X
License State New Mexico
License Number CNP02549
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According to our database, Olivia Dearholt NNP-BC NPI is 1750786141, taxonomy code is 363LN0005X and license number is CNP02549, license state is located at New Mexico. Olivia Dearholt NNP-BC physically located at 2211 Lomas Blvd Ne, Albuquerque NM, 87106-2719. NPI Number Olivia Dearholt NNP-BC has the Individual type.

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1750786141 NPI number is provided on an as is basis without warranty of any kind. 1750786141 is maintained by the National Plan & Provider Enumeration System. The contents of Olivia Dearholt NNP-BC are for informational purposes only.